摘要
选择肺心病患者４４例，ＣＯＰＤ患者４２例，随机分成３组。Ⅰ组３０例，每日服Ｅｎｓｕｒｅｌ３ｇ和硒酸酯多糖１００ｎｇ；Ⅱ组２９例，每日服硒酸酯多糖１００ｎｇ；Ⅲ组２７例，每日服安慰剂胶囊１粒。共４周。复查结果显示：Ⅰ组的最大口腔吸气压升高２７．２％，Ⅱ组升高１８．７％，而Ⅲ组仅升高５．９％。Ⅰ、Ⅱ组与Ⅲ组比较有显著差异（Ｐ＜０．０５）。Ⅰ组的呼气高峰流速升高２０．６８％，ＰａＯ_２下降了１０．７０％，ＰａＣＯ_２升高１１．２％。Ⅱ、Ⅲ组无显著改变。Ⅰ和Ⅱ组的生活质量有明显提高，Ⅲ组无明显改变。提示口服营养具有加强呼吸肌肌力，改善呼吸功能的作用，不失为一种ＣＯＰＤ患者康复治疗的方法。
patients
with cor pulmonale and 42 with COPD were randomly divided into three
groups :G Ⅰ、G Ⅱ and G Ⅲ.GⅠ consisted of 30 cases who have taken
Ensure l3g and selenium in form of Kappa-Seleno carrageenan l00ng per
day;GⅡ consisted of 29 cases who have taken selenium l00ng per day;G
Ⅲ con sisted of 27 cases they were given placebo medicine one pill
a day. After 4 weeks reexamines were taken. The results showed
that:GI,the maximum inspiratory pressure(MIP)increased by 27.2%;G
Ⅱ,increased by l8.7%;GⅢ,increased by 5.9%only(P<0.05).The pulmonary
function and arterial gas analysis of G Ⅰ also made significantly
progress,as follows:PEFR increased by 20. 68%; PaCO_2 de creased by
l0.70%;PaO_2 increased by 11.2%;G Ⅱ and G Ⅲ have no significantly
change. The quality of life of G Ⅰand GⅡ is significantly improved,
after 4 weeks. The results suggested that the Ensure and selenium is
able to improve the strength of respiratory muscles and the lung
function.And it is a good methods of rehabilitation in patients with
cor pulmonale and COPD.(Author's address:China-Japan Friendship
Hospital,Beijing,100029)
出处
《中国康复医学杂志》
CAS
CSCD
1996年第2期52-55,共4页
Chinese Journal of Rehabilitation Medicine
基金
"国家"八.五"攻关课题
关键词
肺心病
阻塞性肺疾病
呼吸压
硒酸酯多糖
Cor pulmonale
COPD
Oral
nutrition
Respiratory pressure
Selenium
